Risky sexual behavior among adolescents: The role of decision-making, problems from cannabis use and externalizing disorder symptoms

Ross, J. Megan; Granja, Karen; Duperrouzel, Jacqueline C.; Pacheco‐Colón, Ileana; López-Quintero, Catalina; Hawes, Samuel W.; González, Raúl

doi:10.1080/13803395.2018.1550192

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…In line with our first hypothesis, externalizing symptoms were most strongly associated with RSB. This result concurs with previous studies that have investigated the association between RSB and externalizing symptoms [ 3 , 19 – 21 , 23 – 25 ]. According to the Problem-Behaviour Theory the association between externalizing symptoms and RSB relates to multiple psychosocial risks including personality characteristics (e.g.…”

Section: Discussionsupporting

confidence: 93%

“…Previous studies have mostly stressed the importance of externalizing symptoms for RSB during adolescence, with reports of a broader range of externalizing symptoms being associated with more RSBs, including the number of sexual partners, frequency of using protection and frequency of drug and alcohol use during sex [ 19 ]. In addition, delinquency in early adolescence has been associated with having multiple sexual partners, an STI diagnosis [ 20 ] and with early sexual initiation [ 21 ], which itself is associated with future RSB [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Risky sexual behaviour among Russian adolescents: association with internalizing and externalizing symptoms

Isaksson

Westermark

Koposov

et al. 2021

Child Adolesc Psychiatry Ment Health

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Background Risky sexual behaviour (RSB) is regarded as a major health problem during adolescence. Russia has one of the highest rates of teenage pregnancy, abortion and newly diagnosed HIV infections in the world, but research on RSB in Russian youth has been limited. To address this deficit, this study examined the role of several factors, including internalizing and externalizing symptoms, in RSB among Russian adolescents. Methods Self-reported data were collected from 2573 Russian adolescents aged 13–17 years old (59.4 % girls; Mean age = 14.89) regarding RSB (unprotected sex, early pregnancy, multiple sexual partners and substance use during sexual encounters). Information was also obtained on externalizing (conduct problems and delinquent behaviour) and internalizing (depression, anxiety and posttraumatic stress) symptoms, as well as interpersonal risk and protective factors (affiliation with delinquent peers, parental involvement and teacher support). Hierarchical multiple binary logistic regression analysis was used to examine the associations between these variables and RSB. Results Boys reported engaging in more RSB than girls. Externalizing symptoms and affiliation with delinquent peers were most strongly associated with RSB, whereas symptoms of anxiety were negatively associated with RSB. There was an interaction effect for sex and affiliation with delinquent peers on RSB with boys reporting RSB when having more delinquent peers. Neither parental involvement nor teacher support were protective against RSB. Conclusions Early detection of and interventions for RSB and associated externalizing symptoms may be important for adolescent physical and mental wellbeing. Affiliation with delinquent peers should, especially among boys, be regarded as a risk marker for RSB.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Risky sexual behaviour among Russian adolescents: association with internalizing and externalizing symptoms

Isaksson

Westermark

Koposov

et al. 2021

Child Adolesc Psychiatry Ment Health

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“…However, it is theorized that DM processes aimed at avoiding loss is compromised among those with substance use disorders (Cousijn et al, 2013). Moreover, using the same cohort of adolescents as the present study, Ross et al (2019) found cross-sectional associations between CU-related problems and poorer performance on the Cups-Loss trials but not with poorer performance on the Cups-Gain trials. Differential examination of DM during gain versus loss trials may provide a more nuanced understanding of whether (and how) risky DM predicts escalation in CU across adolescence.…”

supporting

confidence: 48%

An exploratory follow-up study of cannabis use and decision-making under various risk conditions within adolescence.

Thompson¹,

Adams²,

Pacheco‐Colón³

et al. 2023

Neuropsychology

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Objective: Studies examining the associations between decision-making (DM) and cannabis use (CU) often use cross-sectional, adult samples, and composite scores or single tasks to assess DM. The present study explored differential associations between tasks assessing DM under various risk conditions (i.e., ambiguous vs. explicit; gain vs. loss) and CU frequency, CU-related problems, and CU disorder (CUD) onset across a 2-year period within adolescence. Method: Adolescents (n = 401, 90% Hispanic) aged 14-17 at baseline participated in five biannual assessments. CU frequency, CU-related problems, and CUD were assessed using the Drug Use History Questionnaire, Marijuana Problems Scale, and Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition, respectively. DM was assessed using the Iowa gambling task (IGT), Game of Dice Task (GDT), and Cups Task. We used latent growth curve modeling to examine bidirectional associations between DM and escalation in CU frequency and CU-related problems, and discrete time survival analyses to determine whether baseline performance across DM tasks predicted CUD onset. Results: Baseline performance on the GDT predicted greater escalation in CU (β = .200, p = .008) and CUrelated problems (β = .388, p = .035). No other significant associations were found. Conclusions: DM under explicit risk may be a more salient risk factor for escalating CU and CU-related problems than DM under ambiguous risk. Deficits in executive functioning could partially explain the results. Findings suggest that neurocognitive development should inform prevention and intervention efforts focused on reducing CU. Given the exploratory nature of the present study, replication of findings is needed. Key PointsQuestion: Does performance on various DM tasks differentially predict escalation in cannabis use (CU) frequency, CU-related problems, and CU disorder among a predominantly Hispanic sample of adolescents? Findings: Baseline performance on a DM task under explicit risk (i.e., the GDT) predicted greater escalation in CU frequency and CU-related problems. Importance: Risky DM under explicit risk may be an important risk factor for escalation in CU frequency and CU-related problems. Next Steps: Given the exploratory nature of the present study, future research should aim to replicate our findings across other racial and ethnic groups.

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“…Both aim to help adolescents consider the consequences of their choices (especially with delinquent peers) before making decisions (1,36,57,61,88,89,95). These were followed by allowing adolescents to bear the consequences of poor decisions without bailing them out (5,41,60,101,102). Three studies (59, 61, 68) included family cohesion measures, i.e., strength of the emotional bonds between family members' mutual support under distressed environments and situations (103).…”

Section: Discussionmentioning

confidence: 99%

Theories of Change and Mediators of Psychotherapy Effectiveness in Adolescents With Externalising Behaviours: A Systematic Review

et al. 2022

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BackgroundExternalising behaviours are becoming a remarkably prevalent problem during adolescence, often precipitating both externalising and internalising disorders in later adulthood. Psychological treatments aim to increase the social functioning of adolescents in order for them to live a more balanced life and prevent these negative trajectories. However, little is known of the intervening variables and mediators involved in these treatments' change mechanisms. We conducted a systematic review, exploring the available evidence on mediators of psychological treatments for externalising behaviours and symptoms amongst adolescents (10 to 19 years old).MethodsA systematic search was performed on Medline and PsycINFO databases, which identified studies from inception to February 23, 2020. Eligible studies included randomised controlled trials that enrolled adolescents with externalising symptoms and behaviours as, at least, one of the primary outcomes. A group of 20 reviewers from the COST-Action TREATme (CA16102) were divided into 10 pairs. Each pair independently screened studies for inclusion, extracted information from the included studies, and assessed the methodological quality of the included studies and the requirements for mediators, following Kazdin's criteria. Risk of bias of RCTs was assessed by the Mixed Methods Appraisal Tool. Extracted data from the included studies were reported using a narrative synthesis.ResultsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA), after removing duplicates, 3,660 articles were screened. Disagreements were resolved by consensus. In a second stage, 965 full-text articles were assessed for eligibility. A total of 14 studies fulfilled all inclusion criteria. The majority were related to systemic psychological treatment approaches. Two types of mediators were identified as potentially being involved in the mechanisms of change for better social improvements of adolescents: to increase healthier parent–adolescent relationships and parental discipline. However, there were significant and non-significant results amongst the same mediators, which led to discussing the results tentatively.ConclusionsFamily variables were found to be the largest group of investigated mediators, followed by relational, behavioural, and emotional variables. No cognitive or treatment-specific mediators were identified. Both adequate behavioural control of adolescents' peer behaviour and a better positive balance in their relationships with their parents seemed to buffer the effects of externalising behaviours in adolescents. Several methodological limitations concerning mediation testing design, outcome measures, and mediator selection have been identified.Ethics and DisseminationEthical approval was not required. PROSPERO registration number: CRD42021231835.

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Risky sexual behavior among adolescents: The role of decision-making, problems from cannabis use and externalizing disorder symptoms

Cited by 10 publications

References 46 publications

Risky sexual behaviour among Russian adolescents: association with internalizing and externalizing symptoms

Risky sexual behaviour among Russian adolescents: association with internalizing and externalizing symptoms

An exploratory follow-up study of cannabis use and decision-making under various risk conditions within adolescence.

Theories of Change and Mediators of Psychotherapy Effectiveness in Adolescents With Externalising Behaviours: A Systematic Review

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